Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.17 / $47.18 / $220.03	Facility	26	$47.17	$47.18	$220.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $176.95 / $272.56	Professional		$116.50	$176.95	$272.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $253.17 / $601.91	Professional		$111.17	$253.17	$601.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $199.59 / $548.59	Professional		$168.60	$199.59	$548.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $146.77 / $256.77	Professional		$124.75	$146.77	$256.77
United Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $178.75 / $461.62	Professional		$108.58	$178.75	$461.62